Provider Demographics
NPI:1285105759
Name:RICE COUNSELING SERVICE, LLC
Entity type:Organization
Organization Name:RICE COUNSELING SERVICE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BILLING MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:MELANIE
Authorized Official - Middle Name:
Authorized Official - Last Name:SUTHARD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:301-942-9773
Mailing Address - Street 1:4805 TALLAHASSEE AVE
Mailing Address - Street 2:
Mailing Address - City:ROCKVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:20853-3144
Mailing Address - Country:US
Mailing Address - Phone:301-942-9773
Mailing Address - Fax:888-909-4910
Practice Address - Street 1:40 S CAROLINE ST
Practice Address - Street 2:
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21231-1701
Practice Address - Country:US
Practice Address - Phone:410-580-2886
Practice Address - Fax:888-909-4910
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-12-10
Last Update Date:2018-12-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty